Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2015-00577 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANE COUNTY (608)267-0119 Badger Prairie Needs Network (608) 848-2499 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 210 MARTIN LUTHER KING JR BLVD RM 114 1200 E Verona Ave., <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53703-3342 Verona, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> nebel @countyofdane.com mk @kasieth.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-142-9502-0 TOWN OF VERONA 14 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1200 E VERONA AVE <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-3 Agriculture 27.9 Description:ground on-premise advertising(East Verona Road) 329-Other <br /> District <br /> Category Residential ❑ Co ercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other: (^�U11 S'`9 Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway 10713 as 79/5:©9 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 9 YES ® NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 36 <br /> 9'8" Sq.Ft. Sq.Ft.36 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $4,000.00 <br /> 0 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $0.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SI, ATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or , -. /� , 1,/ <br /> plans submitted will invalidate the permit. • C;�Z�{ i�� aQI [c <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/29/2015 SC W 1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS M 2nd INSPECTION DATE INITIALS <br /> Initial - e -3 ^ 1 ` K <br />